Angela O'donnell, CNM, APRN | |
9897 W Mcdowell Rd Ste 320, Tolleson, AZ 85353-1625 | |
(480) 814-1910 | |
Not Available |
Full Name | Angela O'donnell |
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Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 9897 W Mcdowell Rd Ste 320, Tolleson, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104544659 | NPI | - | NPPES |
019300 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | 281678 (Arizona) | Primary |
Entity Name | Momdoc Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184780355 PECOS PAC ID: 3375534282 Enrollment ID: O20040520000050 |
Mailing Address | Practice Location Address |
---|---|
Angela O'donnell, CNM, APRN Po Box 6730, Chandler, AZ 85246-6730 Ph: (480) 821-3600 | Angela O'donnell, CNM, APRN 9897 W Mcdowell Rd Ste 320, Tolleson, AZ 85353-1625 Ph: (480) 814-1910 |
Wendy Lotegeluaki, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 9897 W Mcdowell Rd Ste 320, Tolleson, AZ 85353 Phone: 480-821-3600 | |
Ms. Robin Kay Sharples-ray, LM, CPM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 9897 W Mcdowell Rd Ste 320, Tolleson, AZ 85353 Phone: 480-821-3600 Fax: 480-857-2667 |